Assesing the quality of TB care using TB dispensary registry data

Abstract

Background: We need to systematically assess the quality of TB care at the dispensary level using the Zero TB Indicator Framework, and explore the conditions that enable TB dispensaries to plan for active TB detection, treatment quality, and prevention, reduce the spread of TB, and enable dispensaries to monitor their operations internally. Objective: To assess the quality of TB dispensary records Materials and method: Three retrospective cross-sectional cohort studies, and two longitudinal studies each individually nested in one of the cohort studies. Research was carried out on dispensary journals and reports containing individual and aggregated information recorded by TB dispensaries. Results: Dispensaries aimed to include 15,947 of the target population in active screening, and 15,294 (96%) were included. 1,604 (10%) of the target group tested positive at screening. The number of cases of recovery from tuberculosis treatment was 73% in Bayanzurkh, 81% in Chingeltei, 86% in Khan-Uul, and 89% in Mandal (p<0.0001). Whether treatment success differed by gender was 84% for women and 77% for men (p<0.001). 60% (862/1433) of dispensaries were included in the preventive contact survey. 2352 people from the households of the doctors were included, and 8% (179) of TB cases were detected. Conclusion: In order to collect reliable data on the quality of TB care, it is more effective to improve the registration and information system of the TB surveillance system and to use a standardized methodology to assess the quality of TB care.